Individual
DEBRA MAKINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 N MAIN ST, DOUSMAN, WI 53118-8853
(414) 803-8802
Mailing address
N54W35570 HILL RD, OCONOMOWOC, WI 53066-3284
(414) 803-8802
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
691-19
WI
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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